- CHECKLIST -

Owner

Name: ....

Address: ....

Place of Residence: ....       Telephone: ....

Name of firm: ....

Address: ....                  Partners: ....

Place: ....                    Telephone: ....

Bank/Giro account no.: ....

Property

Address: ....

Empty since: ....

Size of the apartment: ....    No. of rooms: ....

Rent for the apartment: ....

Purpose of the property: ....

Is it a Housing Department property? Yes/No

Claim or optional: ....

(Claim- of Keuzewoning)

Has a housing permit been issued? Yes/No

(Huisvestingsvergunning)

Has a building permit been issued? Yes/No

(Bouwvergunning)

Has a demolition permit been issued? Yes/No

(Sloopvergunning)

Has a property division deed been issued? Yes/No

(Splitsingsvergunning)

Has a withdrawal permit been issued? Yes/No

(Woningonttrekkingsvergunning)

Electricity connected Yes/No

Gas connected Yes/No

Water connected Yes/No

Is the property managed by an estate agent? Yes/No

If so, by who? ....

Is the property up for sale/for rent?

Squatting

Lock type: - safety lock with a replaceable cylinder Yes/No Number: ....

- safety lock with a built-in cylinder Yes/No Number: ....

- pin lock Yes/No Number: ....

- housing corporation cylinder Yes/No Number: ....

- different type of lock Yes/No Number: ....

Entry via front door Yes/No

Entry via window Yes/No

Entry via roof Yes/No

Other options: ....

Will barricading be necessary? Yes/No

If so, what? (Number of windows/doors, sizes) ....





General

Information received from: Name: ....

Address: ....

Telephone: ....

Received: .....(day) ....(month) ....(year)

Handled by: ....